This position will primarily have responsibility for adults with non-malignant hematologic disorders

The nurse practitioner (NP) or physician assistant (PA) will have the following clinical responsibilities after orientation and competency to provide independent care with oversight from a collaborating supervising MD

The NP/PA will have 1 half day clinic per week in the hemostasis clinic. This clinic provides comprehensive multidisciplinary care to patients with bleeding disorders (e.g. hemophilia)

The NP/PA will have 7 half day clinics per week in the benign hematology clinic which is currently located in The Vanderbilt Clinic (TVC). This clinic provides care to patients with clotting disorders and other diagnoses (e.g. iron deficiency anemia, polycythemia, abnormal blood counts)

The NP/PA will be expected to see inpatients on the benign hematology consult service. These are expected to be subsequent visits. Clinics will be adjusted, as needed, to allow time for inpatient work

The NP/PA will work independently (after competency is established) but will have oversight from a collaborating physician as per medical center policies.

This position will entail working Monday through Friday. Although there is no expectation to work on weekends, it is possible that from time to time, coverage on inpatient benign hematology consult service will be required. NP/PAs often cross-cover across other hematology-oncology service lines (sickle cell service, malignant hematology, stem cell transplant).This cross–coverage may be needed if there are staffing gaps.

The NP/PA will utilize leadership and analytical skills to coordinate and optimize health care team interventions across the continuum and to develop and meet outcomes management and system improvement goals.

Key Functions and Expected Performances:

Coordinates care of patients across continuum in collaboration with triad and health care team

provides leadership in the development of processes/systems; planning/managing/evaluating care-continuum of care planning

provides leadership in assuring that resources are optimally used to facilitate patient care goals and appropriate cost and LOS

provides leadership in area of preventive care; educating and stressing the importance of preventive health care to patients and families.

provides leadership in the area of pain management- emphasizing home pain action plan; developing individualized pain order sets; educating patient and families about adverse effects of opiates and opiate weaning; supportive role for the inpatient team and emergency department;education of other Advanced Practice Providers (APP) and emergency department staff

provides support for hospitalized patients in a consultative role; ensuring timely clinic follow-up for discharged patients; advice and education for other inpatient MLP on patient care pathways

provides leadership in area of best transfusion practices; maintain database for simple transfusion and apheresis procedures; catheter management and coordination with blood bank.

acts as a liaison between the patient, primary care provider, and specialists.

Participates in clinical research activities after appropriate training that will include Vanderbilt IRB Boot Camp.

enrolls participants in clinical studies, and coordinate care with the research team.

Vanderbilt University Medical Center is home to Vanderbilt University Hospital, The Monroe Carell Jr. Children’s Hospital at Vanderbilt, the Vanderbilt Psychiatric Hospital and the Vanderbilt Stallworth Rehabilitation Hospital. These hospitals experienced more than 61,000 inpatient admissions during fiscal year 2015. Vanderbilt’s adult and pediatric clinics treated nearly 2 million patients during this same period.
Vanderbilt University Hospital and the Monroe Carell Jr. Children’s Hospital at Vanderbilt are recognized again this year by U.S. News & World Report’s Best Hospitals as among the nation’s best with 18 nationally ranked specialties.
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